Providing Quality Healthcare
Mahkota Medical Centre (MMC) takes pride in its quality indicators which is testimony to its continuous quality improvement towards quality care and patient safety. One can be reassured that MMC does not compromise on the level of quality care when meeting patients’ needs and safety.
To ensure that MMC meets its quality objectives, clinical indicators are selected, measured and monitored for trends and improvement. MMC benchmarks her results against public and private hospitals, such as that by the Malaysian Productivity Corporation (MPC) since 2004.
We are proud to be able to fare well in our quality standards and we are continually finding ways to improve performance and achieve better outcomes.
Performance Indicators undertaken by MMC
| Description |
Standard | Achieved | Remarks |
|
Operation Theatre Rate of unscheduled return to Operating Theatre within 48 hours of operation |
1.3% | 0.04% |
An unscheduled return to the operating theatre is an indication of a poor outcome or complication(s) following surgery. MMC maintains a very low incidence |
| Description |
Standard | Achieved | Remark |
|
Intensive Care Unit Ventilator Associated Pneumonia Rate (per 1000 ventilator days)* |
<16.7 | 3.77 |
Ventilator Associated Pneumonia (VAP) may develop in patients after 48 hours of endotracheal intubation and mechanical ventilation. MMC has achieved low incidence of VAP through attentive care for our patients. |
| Readmission within 24 hours after transfer out of ICU | < 1.0 % | 0.3% | Readmission into ICU is an indication that the patient was not stable enough to have been discharged to the wards. Patients are carefully assessed for suitability of discharge. |
#Benchmarked against MPC Data (2009)
| Description |
Standard | Achieved | Remarks |
| Percentage of eligible AcuteMyocardialInfarction (AMI) patients receiving thrombolytic within 1 hour. | 83% | 100% |
For patients suffering from a heart attack, it is critical for them to receive thrombolytic within 1 hour. |
| Description |
Standard | Achieved | Remarks |
|
Urology Incidence of patient having blood clots within 24 hours post operation surgery following performance of transurethral resection of the prostate (TURP). |
<5% | 0.79% |
TURP is a procedure performed by urologists to relieve the symptoms of an enlarged prostate. Incidence of massive bleeding following TURP which may require readmission to OT to remove blood clots is incidentally low because our surgeons take great precautions to prevent secondary bleeding |
*Benchmarked against MOH, Malaysia
| Description |
Standard | Achieved | Remarks |
|
Incidence of pressure sores in non-ambulatory patients |
<3% | 0% |
Patients confined to bed rest are prone to pressure sores due to prolonged periods being in an unchanged position. It is always a challenge for our healthcare team to aim for zero incidence of pressure sores in non ambulatory patients. |
*Benchmarked against MOH, Malaysia
| Description |
Standard | Achieved | Remark |
|
Unplanned and unexpected return to A&E within 72 hours of discharge |
<0.5% | 0.14% |
An unplanned and unexpected return to the A&E within 72 hours for the treatment of a condition related to the one which the patient was treated for may reflect less than optimal patient management. Outpatients seeking treatment in the MMC A&E are fully assessed, investigated and treated before discharged. |
| Description |
Standard | Achieved | Remarks |
|
Post Endoscopy Complications |
0% | 0% |
Endoscopy procedures are generally safe. However, on occasions, complications could arise. Complications include, but are not limited to, abdominal distension, discomfort and internal bleeding encountered post endoscopy. |
| Description |
Standard | Achieved | Remarks |
|
Pregnancy Rate
|
> 25%
> 25%
> 20% |
57.9%
38.7%
26.3% |
Our Fertility Centre has consistently obtained strong results in the different techniques of Assisted Reproductive Techniques (ART), comparable to the standards achieved in regional hospitals. This has made our Fertility Centre a top choice for couples who wish to start a family. |
| Description |
Standard | Achieved | Remarks |
|
Percentage of inpatients attended to by dietitian within 30 minutes of referral. |
>80% |
100%
|
A nutritious diet is important for the early recovery of a patient Our Dieticians are committed to attend to their patients in the shortest time possible, so as to be able to provide dietary counseling and information to them and to ensure they have a healthy and balanced diet to complement their treatment in the hospital. |
| Description |
Standard | Achieved | Remark |
|
Lab result Turn Around Time < 2 hours |
85% |
89.4%
|
The timeliness and early reporting of laboratory test results contributes to the early diagnosis of a patient’s conditions, and is especially critical for the reporting of critical test results |
| Description |
Standard | Achieved | Remarks |
|
Patient Safety Rate of Patient Falls in a year per 1000 inpatient admission |
1.5 |
0.2
|
The nurses give utmost attention to patient at risk for falls and undertake every precaution to prevent falls. |
| Description |
Standard | Achieved | Remarks |
|
Prevention of Infection Rate of MRSA cases per hundred patient admissions |
0.5 |
0.3
|
MRSA is bacteria that is resistant to almost all antibiotics. Thus, MRSA infections could result in a longer length of stay in the hospital. |
*Benchmarked against average data from MPC data (2009)
Note: Information presented is collected between January to December 2010.
